Individual
MR. KENNETH GENE WETJEN
Active
Individual
MR. KENNETH GENE WETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
R 094024-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 094024-1
NURSING LISCENSE
—
Enumeration date
06/15/2006
Last updated
07/13/2026
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